کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282233 1611607 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Isolated main pancreatic duct injuries spectrum and management
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Isolated main pancreatic duct injuries spectrum and management
چکیده انگلیسی

BackgroundWe present our experience with the rare injury of isolated major pancreatic duct disruption.MethodsFrom 1997 to 2003, 3 females and 13 males whose age ranged from 4 to 46 years were identified. Stabs caused 2 and blunt trauma 14 injuries. Nine presented acutely. Delay occurred in 7 patients, 6 with pseudocysts and 1 with infected pancreatic necrosis.ResultsNine cases were managed in the acute phase: 6 by splenic-preserving distal pancreatectomy and 2 by distal pancreatico-enteric anastomosis; 1 was drained. A small pseudocyst and transient pancreatic fistula were the only complications. The 6 cases with pseudocysts were managed endoscopically. Five were stented and 1 was drained without stent. Four had resolution. Two had stent cyst migration. One required a pancreaticojejunostomy and another distal pancreatectomy. One patient died of infected pancreatic necrosis. Long-term outcome could not be assessed.ConclusionIn the acute situation, resection or distal pancreatico-enteric anastomoses are attainable with low morbidity. Endoscopic pseudocyst management options are feasible, with good short-term resolution. Giant cysts may be better managed operatively.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 191, Issue 4, April 2006, Pages 448–452
نویسندگان
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